It is not uncommon in family research to find relatives who seem to have dropped out of the records under mysterious circumstances. Yet, what struck this genealogist (and father) with a professional interest in public health is the recurring pattern of infant and childhood mortality throughout my family history. The evidence is everywhere: large families in the 17th and 18th centuries, the reuse of names for children who died young, and mothers who themselves died in childbirth.
For this post, I chose to focus on the 1900 and 1910 censuses and the listings of my ancestors in Barton County, Missouri. Why these censuses? Because in these years, mothers were asked not only how many children they had, but also how many were still living.
The inclusion of these questions reflects a growing national interest in public health at the turn of the century. The United States was expanding, and cities were swelling with people. Coastal and river regions, particularly in warmer climates, were plagued by yellow fever and malaria. In Kentucky—a major pathway for many of my ancestors—the rise of Lexington as a trans-Appalachian “Athens of the West” was abruptly halted by a cholera epidemic in 1833. As cities grew, the problems of waste disposal and sanitation became impossible to ignore.
By the mid-1800s, public health reforms were gaining momentum. In Massachusetts, Lemuel Shattuck (my 5th cousin, five times removed) championed sanitation measures. In London, John Snow famously linked cholera to contaminated water at the Broad Street pump. Advances in germ theory by Louis Pasteur, Robert Koch, and others, along with improvements in medical education, underscored the importance of separating water supplies from human and animal waste. Cities—especially overcrowded and impoverished neighborhoods like New York’s Lower East Side—saw the highest levels of childhood mortality, but rapid improvements followed.
What about rural Barton County, Missouri? Farms allowed for cleaner separation of wells, outhouses, and animal pens. Milk from cows on the farm was commonly boiled. Crowding was not an issue, but access to medical care was limited. Vaccines for childhood illnesses did not exist, nor were antibiotics available to treat bacterial infections.
Even so, mortality among children was a reality. Many of the older mothers among my ancestors lost between one and three children. We don’t always know how old the children were when they died, but we can imagine the grief. The mothers who had babies at the turn of the century and later may have seen some improvement, though I’d need to dig into statistics before drawing conclusions—that would be the subject of a scientific study, not a blog post.
The family photo at the top of this post, taken around 1909, shows my grandparents, Virgil and Marietta (Yount) Cassatt, with my Aunt Alta Mae. According to the 1900 census, Virgil's mother Susan lost 3 of her 6 children, and Marietta's Mary mother lost 2 of her 7 children. Together, Virgil and marietta had six children who survived infancy, but they also lost a 9-day-old baby boy, Frank, in 1907, and another newborn son in 1925. Their daughter Alta grew up, married, but died in 1942 at age 34 after a two-week illness. On my maternal side, a young uncle, Stephen Claire, died of appendicitis at age 6.
Today, we benefit from sanitation systems, vaccines, antibiotics, and hospitals equipped to care for the youngest and most vulnerable. Looking back, we can see how much progress has been made through public health, science, and medicine. Large families were the norm in those days, yet even with strong faith, supportive families, and close-knit communities, our ancestors deeply felt the pain of losing their children. Though some of these children may have lived only briefly, their memories endured.